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- Publisher
- Springer International Publishing
- Copyright
- © Springer International Publishing AG, part of Springer Nature 2019. This book has been previously published in 2002 by BDJ Books with the following title: A Clinical Guide to Crowns and Other Extra-coronal Restorations.
- ISBN
- 978-3-319-79092-3
- Pages
- 75 –81
- DOI
- 10.1007/978-3-319-79093-0_7
- Publisher site
- See Chapter on Publisher Site
Abstract
[This chapter will emphasise the need to:Distinguish between toxicity and hypersensitivity to a dental materialRecognise the characteristics of a Type 1 (immediate, potentially life-threatening) reaction and Type IV (delayed). Both can occur in relation to materials used in restoring teeth, but Type IV reactions occur more commonlyAppreciate that various Type IV reactions may occur with base alloys, and composites but oral lichenoid lesions (OLL) occur most commonly to amalgamRefer OLL for a specialist opinion as this Type IV reaction is difficult to differentiate from lichen planusAsk for appropriate testing to be carried out by a dermatologist to determine which restorative materials can be used for a patient with OLLChoose replacement materials not only on the results of immunological testing but also to ensure fitness for purpose dentally.]
Published: Aug 1, 2018
Keywords: Oral Lichenoid Lesions (OLL); Dental Materials; Lichenoid Reaction; Oral Lichen Planus (OLP); Medicines And Healthcare Products Regulatory Agency (MHRA)